Healthcare Provider Details

I. General information

NPI: 1336553791
Provider Name (Legal Business Name): ASHLEY MAREE BURRIS ORNOFF D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY MAREE ORNOFF DO

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRESHAM DR
NORFOLK VA
23507-1904
US

IV. Provider business mailing address

4619 KENNY RD
COLUMBUS OH
43220-2779
US

V. Phone/Fax

Practice location:
  • Phone: 800-554-2695
  • Fax:
Mailing address:
  • Phone: 800-554-2695
  • Fax: 614-442-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number72596
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0102209987
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: